心理干预对创伤性骨折患者焦虑抑郁情绪及应对方式的影响  

Influence of psychological intervention on the traumatic fracture patients with anxiety and depression emotion and coping style

作　　者：谭柏坚[1] 邱大宏 李丽芳[1] 邓仁椿 骆焕荣 邬德纯 刘月霞[1] 

机构地区：[1]广东省惠州市第二人民医院,广东惠州516001

出　　处：《中国当代医药》2013年第21期175-176,178,共3页China Modern Medicine

基　　金：广东省惠州市科技计划项目(2012Y090)

摘　　要：目的通过建立融合健康教育、认知重建、支持性心理治疗及放松训练的"四合一"心理干预模式,帮助实施创伤性骨折手术的患者缓解创伤性不良情绪反应,并评估干预后的焦虑抑郁情绪及应对方式的变化。方法将160例创伤性骨折患者分为干预组和对照组,干预组患者采用心理干预模式,对照组患者采用常规护理模式。入院时及出院时均接受Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)及简易应对方式(SCSQ)评定,比较两组患者入院时及出院时焦虑抑郁及应对方式评分的差异。结果与对照组比较,干预组患者出院时焦虑抑郁情绪得到显著改善,但两组患者在入院与出院时应对方式差异无统计学意义。结论心理干预对创伤性骨折患者的应对方式无明显改变,但对焦虑和抑郁情绪有显著的改善作用。Objective To assess the change of anxiety,depression and coping style on patients with traumatic fracture before and after operation via a set of psychological intervention model which combined with health education,cognitive re-construction,supportive mental therapy and relaxation training,and so as to relieve traumatic adverse emotional response. Methods 160 patients with traumatic fractures were divided into intervention group and control group,the intervention group was given psychological intervention model while control group was given routine nursing mode.The SAS,SDS and SCSQ was used and the score of anxiety,depression emotion and coping style was compared after admission and before discharge. Results Compared with the control group,the intervention group manifested significant change of anxiety and depression level,whereas coping style did not change significantly. Conclusion Psychological intervention can make significant change to anxiety and depression of patients with traumatic fractures,but can not change their coping style significantly.

关 键 词：心理干预 焦虑 抑郁 创伤性骨折 

分 类 号：R473[医药卫生—护理学]